EHA Library - The official digital education library of European Hematology Association (EHA)

PEDIATRIC REFERENCE RANGES FOR A NOVEL SLIDE-BASED INTEGRATED HEMATOLOGY ANALYZER
Author(s): ,
Jason Tabor
Affiliations:
Roche Diagnostics,Westborough,United States
,
Dan Bracco
Affiliations:
Roche Diagnostics,Westborough,United States
,
Tim Allen
Affiliations:
Roche Diagnostics,Westborough,United States
David Zahniser
Affiliations:
Roche Diagnostics,Westborough,United States
(Abstract release date: 05/17/18) EHA Library. Tabor J. 06/14/18; 216093; PB2395
Jason Tabor
Jason Tabor
Contributions
Abstract

Abstract: PB2395

Type: Publication Only

Background
The cobas m 511 system is a novel slide-based automated hematology analyzer that performs a CBC, WBC differential, reticulocyte count, and nucleated RBC count using automated digital microscopy.

Aims
To determine pediatric reference ranges for the 26 parameters measured by the system in a single-center study.

Methods
Residual EDTA whole blood samples were obtained from 245 healthy subjects covering four age ranges (6–≤24 months, 2–≤6 years, 6–≤12 years, and, separately for males and females, 12–≤18 years). A hematologist reviewed the subjects’ medical records to rule out the presence of pathologies or therapies known to affect blood cell counts. Samples were analyzed on the cobas m 511 system and reference ranges were calculated as the central 95% of values obtained for each parameter according to CLSI guideline EP28-A3c.

Results
Reference ranges for each pediatric cohort for the 26 blood count parameters measured by the system are presented in Table 1.

Table 1: Pediatric reference ranges

Parameter [units]

6–≤24 months

2–≤6 years

6–≤12 years

12–≤18 years (females/males)

WBC [103/µL]

5.06-14.94

4.46-13.42

4.28-12.68

3.86-11.03 / 3.87-12.53

RBC [106/µL]

3.97-4.98

4.01-5.02

3.99-4.99

3.88-5.18 / 4.09-5.34

HGB [g/dL]

10.8-13.3

11.0-13.6

11.6-14.1

11.1-15.0 / 12.3-15.9

HCT [%]

31.7-38.3

32.7-40.1

33.5-42.1

33.4-44.0 / 36.6-47.7

MCV [fL]

72.4-86.0

72.5-87.5

71.6-94.6

71.9-95.4 / 79.7-96.5

MCH [pg]

23.9-29.3

23.2-29.9

24.0-32.0

24.8-31.9 / 26.5-31.7

MCHC [g/dL]

32.4-35.1

32.4-34.9

32.4-35.4

32.2-35.1 / 32.5-34.5

RDW [%]

12.3-16.3

12.8-16.3

12.3-14.7

12.1-16.7 / 12.1-14.3

RDW-SD [fL]

35.3-46.0

36.6-45.8

35.2-44.7

37.0-47.2 / 37.4-45.6

PLT [103/µL]

222-551

213-579

199-420

184-409 / 138-409

MPV [fL]

7.4-10.3

7.4-10.0

8.0-11.6

8.3-11.9 / 8.2-12.9

#NRBC [103/µL]

0.00-0.01

0.00-0.01

0.00-0.02

0.00-0.01 / 0.00-0.03

#NEUT [103/µL]

1.45-5.64

1.18-6.51

1.63-6.90

1.69-6.70 / 1.50-9.55

#LYMPH [103/µL]

2.68-9.85

2.27-6.86

1.20-5.82

1.40-3.40 / 1.27-3.24

#MONO [103/µL]

0.38-1.51

0.34-1.07

0.29-0.91

0.22-1.09 / 0.35-1.30

#EO [103/µL]

0.02-0.91

0.07-1.82

0.01-1.37

0.01-0.51 / 0.02-0.64

#BASO [103/µL]

0.00-0.16

0.00-0.12

0.00-0.13

0.00-0.12 / 0.01-0.12

#RET [106/µL]

0.02-0.06

0.01-0.06

0.02-0.08

0.02-0.06 / 0.01-0.08

HGB-RET [pg]

24.1-34.3

27.1-35.3

27.1-36.1

28.4-36.8 / 29.4-37.9

Data for %NRBC, %NEUT, %LYMPH, %MONO, %EO, %BASO, and %RET not shown

Conclusion
The observed reference range for the 26 parameters analyzed on the cobas m 511 Hematology Analyzer, and the age and sex differences, are consistent with reference ranges determined for other automated hematology analyzers.

Session topic: 36. Quality of life, palliative care, ethics and health economics

Keyword(s): Cytometry, Pediatric

Abstract: PB2395

Type: Publication Only

Background
The cobas m 511 system is a novel slide-based automated hematology analyzer that performs a CBC, WBC differential, reticulocyte count, and nucleated RBC count using automated digital microscopy.

Aims
To determine pediatric reference ranges for the 26 parameters measured by the system in a single-center study.

Methods
Residual EDTA whole blood samples were obtained from 245 healthy subjects covering four age ranges (6–≤24 months, 2–≤6 years, 6–≤12 years, and, separately for males and females, 12–≤18 years). A hematologist reviewed the subjects’ medical records to rule out the presence of pathologies or therapies known to affect blood cell counts. Samples were analyzed on the cobas m 511 system and reference ranges were calculated as the central 95% of values obtained for each parameter according to CLSI guideline EP28-A3c.

Results
Reference ranges for each pediatric cohort for the 26 blood count parameters measured by the system are presented in Table 1.

Table 1: Pediatric reference ranges

Parameter [units]

6–≤24 months

2–≤6 years

6–≤12 years

12–≤18 years (females/males)

WBC [103/µL]

5.06-14.94

4.46-13.42

4.28-12.68

3.86-11.03 / 3.87-12.53

RBC [106/µL]

3.97-4.98

4.01-5.02

3.99-4.99

3.88-5.18 / 4.09-5.34

HGB [g/dL]

10.8-13.3

11.0-13.6

11.6-14.1

11.1-15.0 / 12.3-15.9

HCT [%]

31.7-38.3

32.7-40.1

33.5-42.1

33.4-44.0 / 36.6-47.7

MCV [fL]

72.4-86.0

72.5-87.5

71.6-94.6

71.9-95.4 / 79.7-96.5

MCH [pg]

23.9-29.3

23.2-29.9

24.0-32.0

24.8-31.9 / 26.5-31.7

MCHC [g/dL]

32.4-35.1

32.4-34.9

32.4-35.4

32.2-35.1 / 32.5-34.5

RDW [%]

12.3-16.3

12.8-16.3

12.3-14.7

12.1-16.7 / 12.1-14.3

RDW-SD [fL]

35.3-46.0

36.6-45.8

35.2-44.7

37.0-47.2 / 37.4-45.6

PLT [103/µL]

222-551

213-579

199-420

184-409 / 138-409

MPV [fL]

7.4-10.3

7.4-10.0

8.0-11.6

8.3-11.9 / 8.2-12.9

#NRBC [103/µL]

0.00-0.01

0.00-0.01

0.00-0.02

0.00-0.01 / 0.00-0.03

#NEUT [103/µL]

1.45-5.64

1.18-6.51

1.63-6.90

1.69-6.70 / 1.50-9.55

#LYMPH [103/µL]

2.68-9.85

2.27-6.86

1.20-5.82

1.40-3.40 / 1.27-3.24

#MONO [103/µL]

0.38-1.51

0.34-1.07

0.29-0.91

0.22-1.09 / 0.35-1.30

#EO [103/µL]

0.02-0.91

0.07-1.82

0.01-1.37

0.01-0.51 / 0.02-0.64

#BASO [103/µL]

0.00-0.16

0.00-0.12

0.00-0.13

0.00-0.12 / 0.01-0.12

#RET [106/µL]

0.02-0.06

0.01-0.06

0.02-0.08

0.02-0.06 / 0.01-0.08

HGB-RET [pg]

24.1-34.3

27.1-35.3

27.1-36.1

28.4-36.8 / 29.4-37.9

Data for %NRBC, %NEUT, %LYMPH, %MONO, %EO, %BASO, and %RET not shown

Conclusion
The observed reference range for the 26 parameters analyzed on the cobas m 511 Hematology Analyzer, and the age and sex differences, are consistent with reference ranges determined for other automated hematology analyzers.

Session topic: 36. Quality of life, palliative care, ethics and health economics

Keyword(s): Cytometry, Pediatric

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